Established Patient Office Visit (level 2) at ADVENTIST HEALTH TULARE
869 N Cherry St, Tulare, CA · Adventisthealth · · NPI 1801366711
$13.11
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$69.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$11.41 with MEDI-CAL vs $68.34 with BLUE SHIELD-ALL OTHER PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $11.41 | ↓ -13% |
| HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $11.41 | ↓ -13% |
| BLUE CROSS MCAL | BLUE CROSS MCAL | $11.41 | ↓ -13% |
| CCIPA MEDI-CAL - ALL PLANS | CCIPA MEDI-CAL - ALL PLANS | $11.41 | ↓ -13% |
| UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | UPN-UNITED PHYSCN NTWRK MCAL PROFEE ONLY | $11.41 | ↓ -13% |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $24.35 | ↑ +86% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $31.08 | ↑ +137% |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $31.16 | ↑ +138% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $33.26 | ↑ +154% |
| UHC JLL | UHC JLL | $33.26 | ↑ +154% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $34.19 | ↑ +161% |
| INCENTIVE HLTH - ALL PLANS | INCENTIVE HLTH - ALL PLANS | $34.19 | ↑ +161% |
| HS INTERPLAN-ALL PLANS | HS INTERPLAN-ALL PLANS | $38.85 | ↑ +196% |
| CAL FORENSIC MED GRP - ALL PLANS | CAL FORENSIC MED GRP - ALL PLANS | $40.40 | ↑ +208% |
| HEALTHNET HMO/PPO - ALL OTHER PLANS | HEALTHNET HMO/PPO - ALL OTHER PLANS | $45.28 | ↑ +245% |
| BLUE CROSS NON MCS - ALL OTHER PLANS | BLUE CROSS NON MCS - ALL OTHER PLANS | $63.20 | ↑ +382% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $64.67 | ↑ +393% |
| BLUE SHIELD-ALL OTHER PLANS | BLUE SHIELD-ALL OTHER PLANS | $68.34 | ↑ +421% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $559.01 | $28.15 – $226.00 |
| Banner Lassen Medical Center | Susanville | $737.20 | $29.86 – $276.45 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $16.37 – $305.00 |
| Mark Twain Medical Center | San Andreas | $68.60 | $8.28 – $32.00 |
| French Hospital | San Luis Obispo | $119.56 | $16.37 – $298.90 |
| Bakersfield Memorial Hospital | Bakersfield | $86.25 | $32.25 – $232.00 |
| Healdsburg Hospital | Healdsburg | $205.02 | not published |
| Redwood Memorial Hospital | Fortuna | $55.08 | not published |